[1]王焱烽,李明超,蒋苏莉.视神经脊髓炎患者血清及脑脊液中B淋巴细胞活化因子的表达水平与临床意义[J].卒中与神经疾病杂志,2018,25(05):553-555.[doi:10.3969/j.issn.1007-0478.2018.05.015]
 Wang Yanfeng,Li Mingchao,Jiang Suli..The expression level and clinical significance of B lymphocyte activation factor in serum and cerebrospinal fluid of patients with optic nerve myelitis[J].Stroke and Nervous Diseases,2018,25(05):553-555.[doi:10.3969/j.issn.1007-0478.2018.05.015]
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视神经脊髓炎患者血清及脑脊液中B淋巴细胞活化因子的表达水平与临床意义()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第25卷
期数:
2018年05期
页码:
553-555
栏目:
论 著
出版日期:
2018-10-26

文章信息/Info

Title:
The expression level and clinical significance of B lymphocyte activation factor in serum and cerebrospinal fluid of patients with optic nerve myelitis
文章编号:
1007-0478(2018)05-0553-03
作者:
王焱烽李明超蒋苏莉
223300 江苏省淮安市第一人民医院神经内二科
Author(s):
Wang YanfengLi MingchaoJiang Suli.
Department of Neurology,Huai'an First People's Hospital,Huai'an 223300
关键词:
视神经脊髓炎 血清 脑脊液 B淋巴细胞活化因子
Keywords:
Optic myelitis Serum Cerebrospinal fluid B lymphocyte activation factor
分类号:
R744.5+2
DOI:
10.3969/j.issn.1007-0478.2018.05.015
文献标志码:
A
摘要:
目的 探讨视神经脊髓炎患者血清及脑脊液中B淋巴细胞活化因子的表达水平及其临床意义。方法 选取2011年1月-2015年1月本院收治的视神经脊髓炎(NMO)患者50例及多发性硬化(MS)患者50例,将其分别作为NMO组与MS组,另选取同期于本院进行体检的非炎性神经系统疾病患者50例作为对照组,对3组血清及脑脊液中的B淋巴细胞活化因子(BAFF)水平进行检测。结果 与对照组比较,NMO组与MS组血清中BAFF水平均无明显变化(P>0.05),而NMO组与MS组脑脊液中BAFF水平均明显升高(P<0.05); 与MS组比较,NMO组脑脊液中BAFF水平明显升高(P<0.05)。NMO组与MS组脑脊液中BAFF水平与EDSS评分呈正相关,即脑脊液中BAFF水平随EDSS评分升高而升高(r=0.887,0.885,P<0.01)。结论 视神经脊髓炎患者脑脊液中的B淋巴细胞活化因子水平较高,可能是诊断视神经脊髓炎的重要标志物,对疾病严重程度的判定具有重要的临床意义。
Abstract:
ObjectiveTo investigate the and its clinical significance of B lymphocyte activation factor in serum and cerebrospinal fluid of the optic myelitis patients.Methods 50 patients with optic nerve myelitis(NMO)and 50 patients with multiple sclerosis(MS)were selected in our hospital from January 2011 to January 2015,and were respectively as NMO group and MS group.Otherwise,50 patients with no inflammatory diseases of the nervous system in our hospital for physical examination during the same period were selected as control group.the expression level of B lymphocyte activating factor(BAFF)in serum and cerebrospinal fluid of three groups were tested.Results compared with control group,the expression level of serum BAFF were no obvious changes in NMO group and MS group(P > 0.05),and BAFF levels were significantly elevated in the cerebrospinal fluid of NMO group and MS group(P < 0.05).Compared with MS group,BAFF levels were significantly increased in cerebrospinal fluid of NMO group(P < 0.05).EDSS score in NMO and MS group was positively related to the BAFF expression level in cerebrospinal fluid,the BAFF expression level levels in the cerebrospinal fluid rised with EDSS score(r=0.887,0.885,P < 0.01).Conclusion B lymphocyte activation factor levels in the cerebrospinal fluid of patients with optic nerve myelitis were higher,it might be important markers for diagnosis of optic myelitis,it had important clinical significance to determine the severity of disease.

参考文献/References:

[1] [1] Cancro MP,D'cruz DP,Khamashta MA.The role of B lymphocyte stimulator(BLyS)in systemic lupus erythematosus[J].J Clin Invest,2009,119(5):1066-1073.
[2] Kim SS,Richman DP,Zamvil SS,et al.Accelerated central nervous system autoimmunity in BAFF-receptor-deficient mice[J].J Neurol Sci,2011,306(1/2):9-15.
[3] Kurtzke JF.Rating neurologic impairment in multiple-sclerosis-an expanded disability status scale(edss)[J].Neurology,1983,33(11):1444-1452.
[4] Su DL,Lu ZM,Shen MN,et al.Roles of pro- and anti-inflammatory cytokines in the pathogenesis of SLE[J].J Biomed Biotechnol,2012(2012):347141.
[5] Woo YJ,Yoon BY,Jhun JY,et al.Regulation of B cell activating factor(BAFF)receptor expression by NF-ΚB signaling in rheumatoid arthritis B cells[J].Exp Mol Med,2011,43(6):350-357.
[6] Zhang B,Hu M,Zhang P,et al.BAFF promotes regulatory T-cell apoptosis and blocks cytokine production by activating B cells in primary biliary cirrhosis[J].Brazilian Journal of Medical and Biological Research,2013,46(5):433-439.
[7] Mackay IR,Groom J,Mackay CR.Levels of BAFF in serum in primary biliary cirrhosis and autoimmune diabetes[J].Autoimmunity,2002,35(8):551-553.
[8] Krumbholz M,Faber H,Steinmeyer F,et al.Interferon-beta increases BAFF levels in multiple sclerosis:implications for B cell autoimmunity[J].Brain,2008,131(Pt 6):1455-1463.
[9] Vaknin-Dembinsky A,Brill L,Orpaz N,et al.Preferential increase of B-cell activating factor in the cerebrospinal fluid of neuromyelitis optica in a white population[J].Mult Scler,2010,16(12):1453-1457.
[10] Farina C,Aloisi F,Meinl E.Astrocytes are active players in cerebral innate immunity[J].Trends Immunol,2007,28(3):138-145.
[11] Wang KC,Lee CL,Chen SY,et al.Distinct serum cytokine profiles in neuromyelitis optica and multiple sclerosis[J].J Interferon Cytokine Res,2013,33(2):58-64.
[12] Takahashi T,Fujihara K,Nakashima I,et al.Anti-aquaporin-4 antibody is involved in the pathogenesis of NMO:a study on antibody titre[J].Brain,2007,130(Pt 5):1235-1243.
[13] Jarius S,Aboul-Enein F,Waters P,et al.Antibody to aquaporin-4 in the long-term course of neuromyelitis optica[J].Brain,2008,131(11):3072-3080.
[14] 杨芬,黄德晖,吴卫平.B淋巴细胞活化因子在视神经脊髓炎患者血清及脑脊液中的表达及意义[J].南方医科大学学报,2015,35(3):380-383.
[15] Hinson SR,Mckeon A,Fryer JP,et al.Prediction of neuromyelitis optica attack severity by quantitation of complement-mediated injury to aquaporin-4-expressing cells[J].Arch Neurol,2009,66(9):1164-1167.

更新日期/Last Update: 2018-10-20